| Advanced Audiology Of Greater Omaha, Llc | |
|
17021 Lakeside Hills Plz Ste 202, Omaha, NE 68130-2390 | |
| (402) 758-5327 | |
| (402) 758-5328 |
| Full Name | Advanced Audiology Of Greater Omaha, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 17021 Lakeside Hills Plz Ste 202, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124548607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 348 (Nebraska) | Primary |
| Provider Name | Samuel A Gillespie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063782050 PECOS PAC ID: 3375702574 Enrollment ID: I20170725001689 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Audiology Of Greater Omaha, Llc 17021 Lakeside Hills Plz Ste 202, Omaha, NE 68130-2390 Ph: (402) 758-5327 | Advanced Audiology Of Greater Omaha, Llc 17021 Lakeside Hills Plz Ste 202, Omaha, NE 68130-2390 Ph: (402) 758-5327 |
Dr. Kimberly A Richmond, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4101 Woolworth Ave, Omaha, NE 68105 Phone: 402-995-3120 Fax: 402-943-5539 | |
Shauntelle Cannon, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 555 N 30th St, Omaha, NE 68131 Phone: 402-452-5681 | |
Lynn M Reese, MS Audiologist Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-5208 Fax: 402-559-7782 | |
Rhonda R Dick, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 555 N 30th St, Omaha, NE 68131 Phone: 402-498-6520 Fax: 402-452-5015 | |
Ms. Leisha R Eiten, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 555 N 30th St, Omaha, NE 68131 Phone: 402-498-6540 Fax: 402-498-6357 | |
Samuel A Gillespie, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 17021 Lakeside Hills Plz Ste 202, Omaha, NE 68130 Phone: 402-758-5327 | |
Andrew Thomas Young, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 13336 Industrial Rd Ste 105, Omaha, NE 68137 Phone: 402-330-3211 Fax: 402-330-5970 |